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Department of Veterans Affairs Resources for LGBTQ+ Veterans

What does the Department of Veterans Affairs offer to veterans who identify as members of the LGBTQ+ community? LGBTQ+ refers in this context to a large group of people who include but are not limited to veterans who identify as lesbian, gay, bisexual, transgender, and/or queer.

The VA official site adds that the plus sign, “+”, acknowledged “identities beyond LGBTQ, including but not limited to questioning, pansexual, asexual, agender, gender diverse, nonbinary, gender-neutral, and other identities.”

This community has long struggled to be seen and recognized. There is an old adage amongst a certain generation of military members; that the military is essentially a microcosm of American society. LGBTQ+ Americans are part of that society and as such deserve the same rights and responsibilities associated with military service as any other American.

To this end, the Department of Veteran’s Affairs official site offers a formal welcome for this community, formerly marginalized by “gay ban” recruitment policies, and the Don’t Ask, Don’t Tell era. The VA welcome is all the more significant in light of the more recent ban (and repeal of it) on certain transgender applicants from 2017 to early 2021.

The VA Formal Welcome Of LGBTQ+ Veterans

The Department of Veterans Affairs official site includes a formal welcome of “all Veterans, families, caregivers, and survivor beneficiaries, including diverse gender identities and sexual orientations. “LGBTQ+” refers to lesbian, gay, bisexual, transgender, and queer identities.”

The page adds, “LGBTQ+ Veterans have faced stigma and discrimination, which can affect health. As a healthcare institution, we need to make sure that LGBTQ+ Veterans know that they are welcome at Veterans Health Administration (VHA).”

VA Resources For LGBTQ+ Veterans

The Department of Veterans Affairs offers an LGBTQ+ Veteran Care Coordinator “at every facility”, and offers a resource locator tool to help you find the nearest VA facility to you. The VA offers the same options for all vets including LGBTQ+ veterans for suicide prevention, substance abuse treatment, tobacco cessation, help for intimate partner violence, and military sexual trauma issues. Other options include, but aren’t limited to:

  • Infertility care
  • Heart health
  • Cancer screening
  • Virtual mental health care options

When you make a claim for VA medical benefits or compensation for service-connected medical issues, you may be asked about your identity or other health-related issues in the context of what you may need in terms of support.

If you need to have a conversation with a VA representative about your identity, your medical needs as related specifically to your identity, or other issues, you can do so privately and with the help of a VA coordinator specifically assigned to you at your request. It’s a good idea to discuss any such needs as early as possible in your VA application process to ensure you get the help, care, or information you need.

Contact the Department of Veterans Affairs directly for information about these options. You can call their main number at 1-800-827-1000.

Gender Transitioning And The VA

Past rules prevented the Department of Veterans Affairs from offering gender-affirming care, but in 2021 the Department of Veterans Affairs began a process to eliminate that restriction.

According to the VA, veterans are at press time offered “all medically necessary gender-affirming care to transgender Veterans with the exception of gender-affirming surgical interventions”. This lack of surgical support is due to how the VA medical benefits package was previously structured.

The VA acknowledges in writing, “Gender-affirming procedures have been proven effective at mitigating serious health conditions” including dysphoria, substance abuse, and more. The VA is actively working to end the exclusion for surgical support.

The VA official position on this issue seems to indicate an acknowledgment that veterans who seek such procedures will eventually get the treatment they seek. VA’s role in this process? Revising the medical benefits package “would enable a safe, coordinated continuum of care that is Veteran-centric and consistent with VA’s values of equity and respect for all Veterans.”

And the term “all veterans” is key to understanding VA policy.

Getting Transition-Related Care At The VA

The first step in getting access to transition-related care and resources at the VA is to enroll in the VA medical system. Have you started or do you need to start a VA claims process for service-connected medical issues? If so you’re already well on your way. But if you have not, you can apply online by filling out VA form 10-10EZ. You can apply in person at any VA healthcare facility or VA benefits office.

Gender Affirming Treatments

The VA provides certain gender-affirming care options including support for veterans who identify as non-binary.

At press time, the VA provides medically necessary gender-affirming care including but not limited to:

  • Speech therapy
  • Prosthetics
  • Binders
  • Infertility treatment
  • Hormone therapy
  • Pre/post-operative care

Seeking or requesting this care does not negatively affect your eligibility for VA services, benefits, disability payments or other options.

What You Need To Apply

  • Social Security numbers for you and immediate family members (spouse, children)
  • Military discharge documents
  • Insurance card information including any applicable Medicare, private insurance, or insurance from an employer.
  • Gross household income from the previous calendar year for you, your spouse, and your dependents.
  • Your deductible expenses for the past year. Include health care and education costs.

Your application may require other documentation depending on circumstances. It’s best to talk to a VA rep before submitting. Once you have enrolled in the system you are assigned a primary care provider who can refer you to a counselor who can discuss your needs including evaluations for hormone therapy.

Call the VA at 877-222-8387, Monday through Friday during typical business hours for assistance with your application.

Applying with a Power of Attorney is possible but you will need to discuss this with a VA representative. Be prepared to submit a copy of your Power of Attorney along with any supporting documentation you may need.

Veterans Who Need to Change Their Legal Name With The VA

Veterans who transition and need to change their legal name to reflect their identity have options for doing so in the VA system. The procedures below describe how to change a name in the VA records system and presume the applicant has already been through the process of having their name legally changed on their photo IDs and other documents.

To change your legal name in the VA medical records system, start by making an appointment with a VA facility Privacy Officer who can get you the paperwork needed to begin. Getting started requires at least one current, unexpired document showing your legally changed name:

  • State-Issued Driver’s License with photo
  • Passport with photo
  • Federal, State, or Local Government-issued photo ID (must include your date of birth)
  • Social Security Card (must be accompanied by a current photo ID)
  • Court Order for a Name Change (Must be accompanied by an unexpired government-issued photo ID that includes the old or new name)

If you need care, advice, or information about any of these options for LGBTQ+ veterans, contact the VA directly. In spite of previous eras where being LGBTQ+ was stigmatized and actively penalized in some cases, the Department of Veterans Affairs has doubled down on its commitment to serving ALL veterans.

The needs of this important segment of the veteran community are just as important as the needs of other demographics; those who serve come from all backgrounds and all walks of life.